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Therefore, the CLRC review must be a comprehensive examination of the legal, institutional and administrative framework governing DDAs to ensure these structures continue to serve the interests of the people effectively, responsibly and accountably.

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We believe, as discussed in the CY 2026 OPPS/ASC proposed rule (90 FR 33792 through 33793), that replacing the estimated allowed amount with the median allowed amount and adding the 10th and the 90th percentile allowed amounts will better enable price estimator tools to develop and estimate an individual's personalized out-of-pocket cost, as suggested by some commenters, ultimately providing patients with the information some ( commenters stressed patients are most interested in and need

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